Disability Rights Arkansas

Perimeter Behavioral of Forrest City / Woodridge of Forrest City

*Photos taken by DRA staff during onsite monitoring visits. Photos reflect the most recent conditions observed by DRA staff but may not reflect the current conditions at the facility. If you are associated with a facility and have updated information or photos you would like to share, please contact DRA at [email protected]

Location: Forrest City, AR

Population Served: Males ages 12-17 and a specialized sexual rehabilitative unit for males ages 12-17

# of residents per unit: Up to 21 Residents per room: 1-3 (SRU has 1 or 3, never 2) Capacity: 66

Contact with family (Calls and visit schedule): Calls 2x/week.

Restraint utilized? Yes Chemical Restraint utilized?  Yes Seclusion utilized? Yes 

Treatment Components:

Clinical Director - LPC-TA

Therapists: 3 full-time therapists (1 LCSW, 1 LPC, 1 LMSW); 2 part-time/contract therapists (1 LCSW ACSW, 1 LAC)

Treatment modalities offered: DBT, CBT, TF-CBT, Person-Centered, Narrative, Reality, Anger Replacement Therapy

# of individual therapy sessions/week: 1x/week

# of group therapy sessions led by a licensed mental health professional/week: 3x/week

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PRLU or OLTC

Maltreatment, Notice of Incident, Visit Compliance Report

Resident ran out of area into the laundry room where a Mental Health Technician (MHT) followed attempting to redirect him back into the proper area. The resident reported alleged physical abuse by staff (allegation was that staff hit him). Resident was assessed by Nursing team. No bruises, marks, scratches, or injuries noted and resident denies pain. Staff was sent home for the rest of the day pending further investigation by Safety Team. A report was made to the Child Abuse Hotline (not accepted for investigation).

Licensing Specialist: Eleanor White

04/12/24 – LS White reviewed 15 minutes of camera footage related to the incident on 04/07/24. Footage showed resident going into the laundry room and a female staff member following him into the laundry room. A moment later additional staff entered the laundry room and the original staff member exited. A nurse then enters the laundry room. There are no cameras in the laundry room to verify what occurred there.

Although LS White was unable to substantiate the allegation, since the incident occurred in the laundry room area where there are no cameras, the female staff member was terminated for violating company policy 04/09/24.

PRLU or OLTC

Notice of Incident, Self-Harm

Resident was sent to Forrest City Medical Center for X-ray to right hand, after complaint of pain to Nurses and swelling noted. Resident describes pain/swelling comes from punching a door the previous day. No acute fracture or dislocation.

PRLU or OLTC

Accidental Injury, Notice of Incident

Client was playing basketball in the gym and was accidently hit by the ball. This re-opened the injury to his right eye from 3/27/2024. APRN was notified and an order was obtained to send client to Forrest City Medical Center for further evaluation and treatment. Laceration without foreign body of right eyelid and periocular area (received sutures to the affected area). Resident will see Primary Care Physician in 7 to 10 days for suture removal.

04/09/24 agency reports: Resident has presented no new issues since his return. Resident is currently on activity restriction until further evaluation.

PRLU or OLTC

Accidental Injury, Notice of Incident

Resident was sent to Forrest City Medical Center for continuance of care to receive a splint to left hand after complaint of pain to Nurses. Resident jammed his finger while playing basketball.

PRLU or OLTC

Notice of Incident, Self-Harm

Resident was sent to Forrest City Medical Center for further assessment to right hand after complaint of pain to Nurses. Resident describes the complaint of pain coming from punching walls. Resident describes “too much was going on” around him. He shares this is what he typically does when he feels overwhelmed. This behavior has been reported to his Therapist and he also shares that he has his “coping toy” which has been helping him.

PRLU or OLTC

Accidental Injury, Notice of Incident

Resident was sent to Forrest City Medical Center for further assessment to left hand, pinky finger after complaint of pain to Nurses. Resident describes the pain as coming from jamming his finger while playing basketball. Diagnosis: Small avulsion off the proximal palmar surface of the middle phalanx of the fifth finger. Resident is on activity restriction until Orthopedic consult 04/08/2024.

PRLU or OLTC

Accidental Injury, Notice of Incident

Resident was sent out by order of Physician to Forrest City Medical Center for further assessment of right knee. Resident describes the complaint of pain coming from “moving wrong and had to see the nurses” while playing basketball. Resident is on activity restriction until 4/5/24. Diagnosis: No acute fracture or dislocation. Mild prepatellar soft tissue swelling.

PRLU or OLTC

Accidental Injury, Notice of Incident

Resident was sent out by order of Physician to Forrest City Medical Center for further assessment of left knee. Resident complained of pain after falling while playing outside. Resident is on activity restriction until 04/04/2024. Diagnosis: L knee pain/swelling. No acute fracture or dislocation. Two cannulated screws through the tibial tuberosity are in place and intact, mild prepatellar soft tissue swelling.

PRLU or OLTC

Medical, Notice of Incident

Resident presented to nurse’s station and informed the nurse he had breathing and congestion, a rash between his buttocks, a laceration behind his right ear, and that his urine was brown. APRN was notified and an order obtained to send resident to FCMC for further evaluation and treatment for shortness of breath.

Chest x-ray conducted with no abnormal findings. EKG results: “Sinus rhythm with occasional premature ventricular complexes. Possible Inferior infarct.” Cardiac consult pending at Le Bonheur. Lab (urinalysis with C&S) was ordered for the discoloration of the urine. Hydrocortisone 1% apply topically between buttock twice daily for 7 days for skin irritation of the buttock. Order to clean right ear with antibacterial soap daily times 5 days and apply TAO daily topically for 7 days (laceration to ear due to “poor hygiene, lack of cleanliness”).

PRLU or OLTC

Medical, Notice of Incident

Resident complained of nausea, vomiting, headache, and dizziness. APRN was notified and an order was obtained to send resident to FCMC for further evaluation and treatment. Diagnosis: Contusion of unspecified part of head. Instructed to return if condition worsens. (Contusion was caused by incident on 3/27/24 in which resident hit his head against a peer while playing sports)

PRLU or OLTC

Accidental Injury, Notice of Incident

While playing sports resident hit his head against another peer which caused a laceration to the right forehead above his eye. First aid administered. APRN was notified and an order was obtained to send resident to FCMC for further evaluation and treatment. Diagnosis: laceration without foreign body or right eye lid and periocular area. Resident received 7 sutures to the affected area and advised to return 7 to 10 for suture removal.

PRLU or OLTC

Accidental Injury, Notice of Incident

Resident was sent out to Forrest City Medical Center for further assessment to his right hand after complaint of pain. Swelling noted and Resident had a jammed finger. Resident’s original fracture healed improperly.

03/25/24 Mr. Morris advised that this youth injured his finger while playing basketball. Diagnosis: Healing type 2 Salter fracture through the base of the first metacarpal remains mildly displaced (previously fractured thumb on 2/14).

PRLU or OLTC

Notice of Incident, Peer Altercation

Resident was sent out to Forrest City Medical Center for further assessment to his hip and lumbar after complaint of pain for last five days. Resident describes the pain starting “after the big brawl” referring to a group/peer physical altercation. Diagnosis: Low back pain, R hip pain. No acute fracture or significant subluxation to back, no fracture or dislocation to hip.

Follow up email sent regarding “big brawl”. Agency responded as follows: The “big brawl” is referring to the occurrence on 03.05.2024. This “brawl” began in the gym over a misunderstanding over who threw the ball at him (the peer) and was blamed. The fight continued outside where he fell on concrete. First aid was administered. After investigation, the Safety Team discussed this with all parties involved for accountability’s sake and the residents reconciled. We have not had any more fights between those two residents since.

PRLU or OLTC

Notice of Incident, Self-Harm

Resident was sent out to Forrest City Medical Center for further assessment to his right hand after complaint of pain. Ice pack applied and ibuprofen administered. Injury is from Resident punching a wall. No acute fracture or dislocation.

PRLU or OLTC

Notice of Incident, Self-Harm

Resident was sent out to Forrest City Medical Center for further assessment to his right hand after complaint of pain. Redness and swelling noted and Resident diagnosed with Boxer Fracture. Injury is from Resident punching a wall. Resident received splint and will have follow up in 5-6 days to place cast.

PRLU or OLTC

Medical, Notice of Incident

Resident was sent out to Forrest City Medical Center for further assessment to his left hand after a nodule was noticed. ER Diagnosis: Left hand injury, nodule to wrist. No acute fracture or dislocation.

The agency reported this resident developed the cyst on his hand and they took him for medical treatment for it. It was not an injury.

PRLU or OLTC

Notice of Incident, Peer Altercation

Resident was sent out to Forrest City Medical Center for further assessment to his right hand due to complaint of pain from an altercation with a peer 03/10/2024. Resident is recovering well. Youth are on peer restriction from each other until mediation is completed.

PRLU or OLTC

Notice of Incident, Peer Altercation

Resident was sent out to Forrest City Medical Center for further assessment to his nose after getting hit in his nose during an altercation with another peer. Diagnosis: Trauma to nose. No acute nasal bone fracture. No more issues with his nose, pain has subsided. Residents are on peer restriction until mediation is complete.

PRLU or OLTC

Notice of Incident, Peer Altercation

Resident was sent out to Forrest City Medical Center for further assessment to his head after hitting his head against a wall during an altercation with another peer. Diagnosis: Blunt head trauma. Discharge instructions: RICE Therapy. Neuro-checks were completed and will be conducted again 03.13.24. Youth is doing well, no further complications with his head injury.

PRLU or OLTC

Notice of Incident, Peer Altercation

Resident was sent out to Forrest City Medical Center for further assessment to his left hand after an altercation with another peer. ER Diagnosis: Left hand pain & swelling. No acute fracture or dislocation. Youth is better. No further issues with his hand. Residents were put on peer restriction until mediation is completed.

PRLU or OLTC

Accidental Injury, Notice of Incident

Resident was sent out to Forrest City Medical Center for further assessment to his right hand due to complaint of pain from playing basketball. No acute fractures or displacements found. Resident was on activity restriction for 24 hrs. and RICE (rest ice compression elevation) was administered. Swelling is down today, and resident is back to normal activities.

PRLU or OLTC

Notice of Incident, Peer Altercation

Resident was sent out to Forrest City Medical Center for further assessment to his nose from trauma to his nose after getting hit by another Resident in an altercation. Discharge paperwork notes no fractures and recommended ibuprofen for pain. There have been no further complications with his nose injury. Residents are on peer restriction until mediation is completed.

PRLU or OLTC

Maltreatment, Notice of Incident, Visit Compliance Report

Resident alleged to Nurse that a staff member punched and choked him. Nurse called the allegation into the AR child abuse hotline. Internal investigation: Camera review was conducted and multiple residents, including alleged victim, were interviewed. Written statements were collected 3/7/24. No bruising, injury, or discoloration noted on nursing evaluation. Alleged staff will remain on suspension pending the investigation. While internal findings do not lead to abuse/maltreatment at this time, protocol of going into Resident room without immediate supervision at the door was not followed. Policy will be reviewed with Staff by Program Director.

Licensing Specialist: Eleanor White.

Camera footage was reviewed on 03/07/24 and verified resident was walked out of his room in a restraint hold by staff member following a pencil and staff’s badge being thrown into the hall from resident’s room. Once in the hallway, staff used unnecessary force in taking the child to the floor. It did not appear that resident was resisting the restraint hold by staff before being taken to the floor. Facility staff explained that the staff member may have been escalated from being poked in the back by a pencil by the resident prior to the restraint. The facility SAMA instructor also viewed the camera footage with licensing and expressed concerns about the staff’s conduct during the restraint. This staff member is SAMA certified. His certification expires 06/13/24.

  • Facility will be cited as follows: 905.9. Physical restraints shall be performed using minimal force and time necessary.

The CACD case was unsubstantiated. Licensing unfounded this complaint regarding the punching and choking of resident due to no camera in the resident’s bedroom. However, video review did show the staff member failing to use the minimal force necessary during the restraint hold. The staff (alleged offender) was terminated from the facility.

PRLU or OLTC

Accidental Injury, Notice of Incident

Resident was sent out to Forrest City Medical Center for further assessment to left knee due to complaint of pain after attempting a layup while playing basketball in the gym. Resident returned from ER with ace bandage to left knee that is to be worn for 3 days and taken off at bedtime. He is also on activity restrictions for 3 days. Facility provided wheelchair to resident for further transportation accommodations.

PRLU or OLTC

Medical, Notice of Incident

Resident was sent out to Forrest City Medical Center for further assessment due to complaint of dizziness. Resident initially refused to go to the ER in order not to miss his pass with his mother and informed Safety team he was “faking it.” Resident was still assessed at FCMC. Diagnosis: Moderate protein-calorie malnutrition.